Insomnia should first be treated with non-drug treatments, as follows:
1. Sleep hygiene education should establish good sleep hygiene habits and create a quiet, comfortable and safe sleep environment. , do not read or watch TV in bed, do moderate and regular exercise every day, but not within two hours before going to bed, do not drink alcohol, coffee, tea after dinner, do not eat too much before going to bed, do not often look at the time when you cannot sleep, insomnia Patients should try to avoid daytime naps or naps;
2. Psychological treatments include cognitive therapy, behavioral therapy, phase therapy, light therapy, etc.;
3. Commonly used treatments for insomnia Sedative-hypnotics include benzodiazepines, non-benzodiazepines, and barbiturates. Benzodiazepines include midazolam, triazolam, oxazepam, alprazolam, and diazepam. , estazolam, clonazepam, non-benzodiazepines include zolpidem, eszopiclone, zaleplon, etc. Barbiturates are prone to drug resistance and dependence, and moderate doses can inhibit breathing. , is currently less used for the treatment of insomnia. When choosing drugs, different types of insomnia patients use different drugs. People who have difficulty falling asleep should choose drugs that can quickly induce sleep, such as zolpidem, triazolam, zopiclone, midazolam, etc. For drugs with short half-life, those who are prone to wake up in the first half of the night should choose midazolam, triazolam and alprazolam. For those who are prone to waking up in the second half of the night, drugs with long half-life such as estazolam, nitrazepam or flurazepam should be chosen. , Early awakening is more common in patients with depression. Long or medium half-life sedative-hypnotics such as diazepam, estazolam, nitrazepam and clonazepam can be used to treat the primary disease. Insomnia with obvious depressive symptoms Patients can choose antidepressants, and patients with psychiatric symptoms and insomnia can use antipsychotics.
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